Khansara ya Colon ndi matenda achinayi omwe amadziwika bwino kwambiri pambuyo pa mapapo , m'mimba ndi khansa ya m'mawere. Dzina limeneli limatanthauzira zotupa zowononga zosiyana siyana mu khungu, kolon, rectum ndi anal channel. Adenocarcinoma yamtunduwu imayamba kuchokera kumatenda a epithelial, metastases imafalikira kupyolera mu mimba, kotero chidziwitso chotheka chimatheka kokha kumayambiriro kwa matendawa. Izi zimakhala zovuta kuti azindikire mtundu uwu wa khansara panthawi yoyamba yakuwoneka.
Adenocarcinoma wa m'matumbo akulu - zizindikiro
Vuto lalikulu pa chithandizo cha colon adenocarcinoma ndi chakuti nthawi zambiri maselo amagazi samasiyanitsa mpaka mphindi yotsiriza, ndiko kuti, iwo akupitiriza kukula mu mawonekedwe osatha, omwe amatsutsana ndi matenda ndi cholinga cha mankhwala. Pofika posiyana, mitundu iyi ikusiyana:
- zochepa;
- mosiyana kusiyanitsa;
- osiyana kwambiri ndi adenocarcinoma wa m'matumbo akulu.
Amasiyanitsa kwambiri adenocarcinoma ya m'matumbo akuluakulu
Mitundu imeneyi ili ndi chithunzi chabwino kwambiri. Matenda a zaka zisanu mu matendawa akufikira 50%. Makamaka akuluakulu ali mwa okalamba, popeza metastases mu nkhaniyi sichikulirakulira ndipo salowa mkati mwa ziwalo zina. Achinyamata omwe ali ndi adenocarcinoma anali osauka kwambiri. Malingana ndi chiwerengero cha zachipatala, ndi zikuluzikulu zamagulu adenocarcinoma a coloni omwe ali ndi kusiyana kwakukulu, pafupifupi 40% ya achinyamata amakhalapo. Koma pamakhala miyeso yambiri yobwereranso pakapita miyezi 12 isanachitike, komanso kukula kwa masitima akutali.
Amasiyanitsa kwambiri adenocarcinoma wa m'matumbo akuluakulu
Chotupa choterocho chingachiritsidwe kwambiri chifukwa sitingathe kusankha bwino mankhwala othandizira mankhwala. Kulingalira kwazitsulo sikuthandizanso nthawi zonse, ndipo opaleshoni yopanda opaleshoni popanda njira zina zothandizira mankhwala sapereka chithandizo chonse.
Matenda otsika a adenocarcinoma a m'matumbo akuluakulu
Matendawa ndi owopsa kuposa mitundu yambiri yosiyana-khansa ya mucous kapena colloidal, mucocellular kapena perstene-cell carcinoma, komanso squamous cell carcinoma. Onsewa amadziwika ndi matenda oopsa, mofulumira ndipo akufutukula ndi kufalikira ndi maselo amphongo, pang'onopang'ono akugwira mbali zazikulu za epithelium m'matumbo ndi ziwalo zina. Mitundu iyi ya khansa sichitha kuchiritsidwa, ndipo chitsimikizo cha wodwala ndi matenda amenewa ndi choipa kwambiri.
Kutheka kotheka kwa colon adenocarcinoma
Kusiyana kwa adenocarcenoma ya m'matumbo akulu sangathe kuchiritsidwa popanda opaleshoni. Pachiyambi choyamba cha matendawa, ngati maselo amatha kunena molondola kuti ali ndi mtundu umodzi wa zamoyo, kuchotsa chotupacho ndi malo omwe ali pafupi ndi epithelium, mfundo zamagetsi ndi chemotherapy zikuwonetsedwa. Wodwalayo amasintha njira zomwe akuwonetsera
Ngati ndi khansara 1-2, kupulumuka ndibwino kwambiri. Pa masitepe 3 ndi 4 a adenocarcenoma a m'matumbo akuluakulu, opaleshoni amachita opaleshoni kuti apititse malo okhudzidwawo, nthawi zambiri izi zimapangitsa kufunikira kuchotsa matumbo m'mimba m'mimba ndikuika kalospriemnik. Chifukwa cha colostomy, wodwalayo amaletsedwa mwayi wotsutsa mwachibadwa, koma amapeza mwayi kwa zaka zingapo za moyo. Chemotherapy ndi ma radiation m'mayendedwe oterewa safala, chifukwa mbali yakutali ya m'mimba ndi yaikulu. Mankhwalawa amatha kokha masabata angapo mutatha opaleshoni.